National Provider Identifier
Jaclyn Brant
Jaclyn Brant is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Amherst, NY and a listed phone number of (716) 204-5925.
Profile Overview
- NPI
- 1063960466
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- September 14, 2016
- Last Updated
- September 14, 2016
Practice Location
- 331 Alberta Dr
- Suite 110
- Amherst, NY 14226-1813
Phone: (716) 204-5925
Mailing Address
- 331 Alberta Drive
- Suite 110
- Amherst, NY 14226-1813
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1063960466
- Entity Type
- Individual
- Last Name
- Brant
- First Name
- Jaclyn
- Mailing Street Address
- 331 Alberta Drive
- Mailing Address Line 2
- Suite 110
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1813
- Mailing Country
- US
- Practice Street Address
- 331 Alberta Dr
- Practice Address Line 2
- Suite 110
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1813
- Practice Country
- US
- Practice Phone
- (716) 204-5925
- Enumeration Date
- September 14, 2016
- Last Updated
- September 14, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)